Continuing Healthcare Of Toledo
CONTINUING HEALTHCARE OF TOLEDO in TOLEDO, OH — inspection on April 29, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the medical record for Resident #54 revealed she was admitted on [DATE] with diagnoses including acute kidney failure, asthma, cataracts, difficulty walking, obesity, unspecified psychosis, depression, fatty liver, symptomatic epilepsy, cognitive communication deficit, heart failure, stage three chronic kidney disease, hypertension, gastrointestinal hemorrhage, and obstructive sleep apnea.
Review of the quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #54 experienced mild cognitive impairment and did not display any behaviors at the time of the assessment.
She utilized a walker and a manual wheelchair and required maximal assistance with transfers. Resident #54 required moderate assistance with activities of daily living.
This assessment indicated she utilized dialysis services.Review of a progress note dated 02/02/26 for Resident #54 revealed she experienced chest pain and was sent to a local emergency room for treatment.
There was no indication Resident #54's power of attorney (POA) had been notified of this change in condition.Interview on 04/29/26 at 3:15 P.M. with the Administrator revealed Resident #54's (POA) had not been notified of the change in condition SR #54 experienced on 02/02/26.2.
Review of the medical record for Resident #58 revealed she was admitted on [DATE] with diagnoses including depression, anxiety, rheumatoid arthritis, osteoarthritis, hyperlipidemia and chronic obstructive pulmonary disease (COPD).
Review of the quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #58 experienced mild cognitive impairment and did not display any behaviors nor refusals of care at the time of the assessment.
She utilized a manual wheelchair, was dependent for transfers, and was independently mobile. Resident #58 required moderate assistance with activities of daily living.Review of a progress note dated 03/11/26 for Resident #58 revealed she was experiencing abdominal pains and spasms, and audible wheezing.
Imaging, labs, and medications were ordered.
There was no indication Resident #58's POA had been notified of this change in condition.Interview on 04/29/26 at 3:43 P.M. with the Administrator revealed Resident #58's POA had not been notified of the change in condition Resident #58 experienced on 03/11/26.Review of facility policy titled, Change in a Resident's Condition or Status, dated 02/26/25, revealed the facility would notify a resident's representative if they experienced a significant change in condition.This deficiency represents non-compliance investigated under Complaint Number
- Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
365488 04/29/2026
Continuing Healthcare of Toledo 4420 South Avenue Toledo, OH 43615
Review of the medical record for Resident #54 revealed she was admitted on [DATE] with diagnoses including acute kidney failure, asthma, cataracts, difficulty walking, obesity, unspecified psychosis, depression, fatty liver, symptomatic epilepsy, cognitive communication deficit, heart failure, stage three chronic kidney disease, hypertension, gastrointestinal hemorrhage, and obstructive sleep apnea.
Review of the quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #54 experienced mild cognitive impairment and did not display any behaviors at the time of the assessment.
She utilized a walker and a manual wheelchair and required maximal assistance with transfers. Resident #54 required moderate assistance with activities of daily living.
This assessment indicated she utilized dialysis services.Observation on 04/29/26 at 9:40 A.M. of Resident #54's private room revealed a nasal cannula on the floor next to an oxygen concentrator and the cannula was not labeled with the date it was initiated.
Continued observation revealed a Continuous Positive Airway Pressure (CPAP) machine on the nightstand next to the bed.
The tubing was not labeled with the date it was initiated and the mask was not covered to protect it from dust and germs.
Additionally, there was a portable oxygen tank next to the dresser with a nasal cannula on the floor that was not labeled with date it was initiated.Interview on 04/29/26 at 11:55 A.M. with Licensed Practical Nurse (LPN) #101 confirmed the above observations of the respiratory equipment in Resident #54's room. LPN #101 stated oxygen and CPAP tubing should be dated, nasal cannulas should not be on the floor, and CPAP masks should be cleaned and bagged daily after use.Interview on 04/29/26 at 12:30 P.M. with the Director of Nursing revealed the facility did not have a policy or procedure regarding the maintenance of oxygen nasal cannulas and nebulizer tubing.
Continued interview confirmed oxygen nasal cannulas should not be on the floor and tubing should be changed and labeled with the date of initiation once weekly.Review of facility policy titled, CPAP/BiPAP Cleaning, dated 2025, revealed CPAP masks should be cleaned and dried daily after use then stored in a plastic bag.2.
Review of the medical record for Resident #58 revealed she was admitted on [DATE] with diagnoses including depression, anxiety, rheumatoid arthritis, osteoarthritis, hyperlipidemia and chronic obstructive pulmonary disease (COPD).
Review of the quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #58 experienced mild cognitive impairment and did not display any behaviors nor refusals of care at the time of the assessment.
She utilized a manual wheelchair, was dependent for transfers, and was independently mobile. Resident #58 required moderate assistance with activities of daily living.Observation on 04/29/26 at 11:35 A.M. of Resident #58's room revealed a nebulizer machine on her nightstand with tubing that was not labeled with the date it was initiated.Interview on 04/29/26 at 11:40 A.M. with Certified Nurse Assistant #102 confirmed the tubing connected to the nebulizer machine on Resident #58's nightstand was not dated.Interview on 04/29/26 at 12:30 P.M. with the Director of Nursing revealed the facility did not have a policy or procedure regarding the maintenance of nebulizer tubing.
Continued interview confirmed nebulizer tubing should be changed and labeled with the date of initiation once weekly.This was an incidental finding found during the course of the complaint investigation.
365488 04/29/2026
Continuing Healthcare of Toledo 4420 South Avenue Toledo, OH 43615
professional principles; and all drugs and biologicals must be stored in locked compartments,
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on
ensure medication was administered and stored in a secure manner.
This affected one (Resident #58) of one resident reviewed for medication administration and storage.
The facility census was 60.Findings include:
Review of the medical record for Resident #58 revealed she was admitted on [DATE] with diagnoses including depression, anxiety, rheumatoid arthritis, osteoarthritis, hyperlipidemia and chronic obstructive pulmonary disease (COPD).
Review of the quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #58 experienced mild cognitive impairment and did not display any behaviors nor refusals of care at the time of the assessment.
She utilized a manual wheelchair, was dependent for transfers, and was independently mobile. Resident #58 required moderate assistance with activities of daily living.Observation on 04/29/26 at 11:35 A.M. of the bedside table in Resident #58's room revealed a medication cup with one green oblong pill, one white oblong pill, and four white round pills.
Additionally, an inhaler was next to the medication cup.
The nurse was not present in Resident #58's room.Interview on 04/29/26 at 11:40 A.M. with Certified Nurse Assistant #102 confirmed the above noted medications on Resident #58's bedside table.Interview on 04/29/26 at 11:50 A.M. with Licensed Practical Nurse #101 confirmed she was the nurse responsible for the above noted medication on Resident #58's bedside table.
Continued interview confirmed residents should be observed consuming their medications when they are administered.Review of facility policy titled, Medication Administration, dated 2025, revealed nursing staff administering medications should observe the resident consuming their medications.Review of facility policy titled, Medication Storage, dated 2026, revealed medications would be under the direct observation of the person administering medications, or locked in a medication cart.This was an incidental finding found during the course of the complaint investigation.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.